Provider Demographics
NPI:1942394739
Name:THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS
Entity Type:Organization
Organization Name:THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS
Other - Org Name:BAPTIST MEDICAL CENTER SOUTH - CROSSBRIDGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:KEEFER
Authorized Official - Last Name:BELT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-273-4447
Mailing Address - Street 1:PO BOX 241145
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36124-1145
Mailing Address - Country:US
Mailing Address - Phone:334-273-4520
Mailing Address - Fax:334-273-4425
Practice Address - Street 1:2105 E SOUTH BLVD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-2409
Practice Address - Country:US
Practice Address - Phone:334-286-2987
Practice Address - Fax:334-286-3368
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UABHS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-03
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11321273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL816OtherBLUE CROSS BLUE SHIELD
ALHOS0023HMedicaid
AL816OtherBLUE CROSS BLUE SHIELD
AL=========OtherVIVA
AL=========OtherUNITED HEALTH CARE
ALHOS0023HMedicaid
AL=========OtherTRICARE
AL=========OtherOTHER COMMERCIAL INS
AL01S023Medicare PIN